After spending six years medically transitioning to a male, Alia Ismail is now de-transitioning to female.
Alia, from Michigan, came out as trans aged 18, switching to male pronouns and more masculine dress.
In the years that followed, Alia had a name change to Issa, and aged 20 she started a medical transition that included taking male hormones to increase testosterone and undergoing a double mastectomy.
Alia said: “Socially at 18 years old I came out, used male pronouns and dressed masculine.
“By 20 years old, I underwent a medical transition where I started hormones and changed my name legally in August 2015, and then had a double mastectomy in 2016.
“When I first came out as gay, it was quite easy with my family. As far as transitioning, my grandparents were very accepting but lacked understanding, and my mother came to understand my feelings better as my transition continued.”